red watch band

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Train the Trainer Workshop

Center for Prevention and Outreach

NASPA January 2010

Oneonta Bystander Summit

SUNY Oneonta

March 17, 2011

Ellen Driscoll LMSW, CASAC

Training Today

Red Watch Band History

Goal and Mission of RWB

Alcohol Education

Implementation

Development of an Action Plan

Comprehensive Bystander

Wellness/Education program designed to prevent student death from TOXIC drinking

 The GOAL of the RED WATCH BAND is to ensure that all students are provided with accurate information about the dangers of alcohol use and know when, where and how to get help because every second counts.

 The MISSION of the RED WATCH BAND is to provide students with the knowledge, awareness, and skills to prevent toxic drinking deaths and to promote a student culture of kindness, responsibility, compassion, and mutual respect.

Knowledge

& Skills

Building

Challenging

Myths

RED WATCH

BAND

Bystander

Intervention

Changing Drinking Culture

 Community Response to a Student Death

 Wellness/Educational Initiative

 Peer-based Intervention Program

Secondary Prevention Component

 Bystander Intervention Program

Alcohol Poisoning Death Prevention

RWB Learning Objectives

Participants will gain knowledge of toxic drinking/alcohol overdose.

Participants will actively engage in discussion about their personal relationship with alcohol and their concerns for others consumption.

Participants will have an increased knowledge of Binge Drinking.

Participants will be able to identify High Risk Environments and High Risk

Behaviors re: alcohol.

Participants will be able to identify signs of life threatening overdose.

Participants will be able to correctly identify the Facts from the Myths of how to help a friend sober up .

Participants will increase their awareness of the issues surrounding bystander interventions.

Participants will actively engage in role plays to practice making the call to

911 for medical assistance in an alcohol related emergency.

INTRODUCTIONS / ROLES

Student

Administrator

Community Agency

Counselor

Police Officer

Other

WHY DON’T STUDENTS INTERVENE?

◦ Don’t know/believe it’s life threatening

◦ Don’t want to get friends in trouble

◦ Don’t want to get themselves in trouble

◦ Peer influence of adhering to a code of silence

◦ Desensitized to patterns of acute intoxication

Don’t want to get the victim in trouble

4,21

Don’t want to get themselves into trouble

4,21

Don’t want to get others involved e.g. EMS or

University Officials

4,05

They don’t believe the situation is life threatening

3,95

4,23

4,00 4,05 4,10 4,15

1 - Least Agreement ... 5 - Most Agreement

4,20

Reasons for Attending RWB Training, n=40

4,25

 Decreasing Reluctance of Peers to Intervene (call 911)

◦ Don’t believe the situation is life threatening

◦ Don’t want to get friend/victim in trouble

◦ Don’t want to get themselves in trouble

 Changing Drinking Culture

Tends to take form of binge/toxic drinking

Binge drinkers are drinking more when they drink

Knowledge

Self

Awareness

CPR Equates

Alcohol Crisis to

MEDICAL

EMERGENCY

Bystander

Intervention

Training

Role Plays

Death

Prevention

National impact of college-age alcohol use:

1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor vehicle crashes.

599,000 students between the ages of 18 and 24 are unintentionally injured under the influence of alcohol.

97,000 students between the ages of 18 and 24 are victims of alcohol-related sexual assault or date rape. ( Hingson et al., 2009 )

Binge drinkers are more likely than non-binge drinkers to:

Damage property

Be in trouble with campus police

Be hurt or injured

 Drive a car after drinking

( Harvard School of Health College Alcohol Study, 2000)

BREAK

 How do your college students drink?

Where?

What?

How Much?

 Definition of BINGE drinking

4+ drinks for women in approximately two hours

5+ drinks for men in approximately two hours

 Toxic Drinking

What constitutes

one

drink?

One 12 oz. beer

5% alcohol

One 8.5 oz. malt liquor

7% alcohol

One 5 oz. glass of

Wine

12% alcohol Standard shot glass

1.5 oz.

40% alcohol

What is the Drink Equivalent of this…

And this…

Drinks

5

6

3

4

0

1

2

9

10

7

8

BAC Levels for Men

100

.11

.15

.19

.23

.00

.04

.08

.26

.30

.34

.38

120

.09

.12

.16

.19

.00

.03

.06

.22

.25

.28

.31

140

.00

Approximate Blood Alcohol Concentration (%)

Body Weight (lbs)

160 180 200 220 240

.00

.00

.00

.00

.00

.03

.05

.08

.11

.13

.16

.19

.21

.24

.27

.02

.05

.07

.09

.12

.14

.16

.19

.21

.23

.02

.04

.06

.08

.11

.13

.15

.17

.19

.21

.02

.04

.06

.08

.09

.11

.13

.15

.17

.19

.02

.03

.05

.07

.09

.10

.12

.14

.15

.17

Safest Driving

.02

.03

Driving Skills Highly Impaired

.05

.06

Criminal Penalties Possible

.08

.09

.11

.13

.14

.16

Subtract 0.01% for each 40 minutes of drinking.

One drink is 1.25 oz. of 80 proof liquor, 12 oz. of beer, or 5 oz. of table wine.

Comments

Legally Intoxicated

Criminal Penalties

Death Possible

Adapted from Virginia Tech Alcohol Abuse Prevention Program

Effects of Binge Drinking

Blackouts

Tolerance

Passing out

Alcohol is a depressant drug

What organs in the body are NOT effected by alcohol intake?

ALL organs are effected.

The liver can only filter ONE UNIT of alcohol per hour; the excess is absorbed through the stomach lining into the blood stream and transported to the rest of the organs, as a depressant to the BRAIN, the HEART and all other organs.

There is NOTHING that can be done to speed up the metabolism of alcohol once it’s in the blood stream.

“Once you have too much alcohol in your body, you’re just along for the ride – you’re gonna live or die, there’s nothing you can do about it”

- Aaron White, Duke University, Dept of Psychiatry

SIGNS OF LIFE-THREATENING OVERDOSE

• Mental confusion, stupor, coma, or cannot be roused

• Vomiting

• Seizures

• Slow breathing (fewer than 8 breaths per minute)

• Irregular breathing (10 sec or more between breaths)

• Hypothermia (low body temp), bluish skin, paleness

MYTHS to Sober Up

1.

Drinking Coffee or Energy Drink

2. Splashing Cold Water or Cold Shower

3. Exercise or Walking it Off

4.

Bread/Food

5.

Sleep it off

EVERY SECOND COUNTS…

Networking LUNCH

I’m interested in knowing how to help my friends

I thought it would be helpful in my role on campus

I’m interested in CPR training

A friend recommended the training

I know friends who were involved in toxic drinking

I know friends who have problems with AOD

I know family who have problems with AOD

2,28

3,08

2,97

3,43

4,48

4,35

4,20

An RA (Resident Assistant) recommended it

I’ve experienced toxic drinking myself

1,00

1,21

1,50

1,55

2,00 2,50 3,00 3,50

1 - Least Agreement ... 5 - Most Agreement

4,00 4,50

Reasons for Attending RWB Training, n=40

5,00

CPR and Role Plays

They NEED to Know

ROLE PLAYS

1.

OBSERVE the situation.

2.

CALL 911.

3. STAY with the person until help arrives.

STEP ONE: Student Engagement

◦ Student Leaders/Peer Educators

STEP TWO: Collaboration of Key Stakeholders (on and off campus)

◦ Administration, Dept. chairs, Athletics

STEP THREE: Design a Marketing strategy

◦ Communications Department for technical assistance

STEP FOUR: Training Program

◦ CPR Training – American Heart Association/Family&Friends

◦ Alcohol Emergency Education & Role Play

STEP FIVE: Recognition of New Red Watch Band Members

◦ Sustainability

◦ Recognition and follow up

Hands-Only ™ CPR

American Heart Association

4,00

3,80

3,60

3,40

3,20

3,00

5,00

4,80

4,60

4,40

4,20

Pre

3,61

Post

4,46

Pre

3,75

Post

4,50

Pre

3,61

Post

4,62

Pre

3,36

Post

4,46

Pre

3,39

Post

4,50

Pre

4,08

Post

4,61

Toxic drinking and

Alcohol OD

Knowledge

ID High Risk

Environments and

Behaviors

ID Facts and Myths about sobering up a friend

ID Signs of a Life threatening OD

Responding to a toxic Intervening in a toxic drinking emergency drinking emergency n=40, p<0.05

Relevance Satisfaction Recommend to peer

80%

70%

60%

50%

40%

30%

20%

10%

0%

Strongly Agree Agree Neutral Disagree Strongly Disagree n=40, p<0.05

ACTION PLAN

STEP ONE: Student Engagement

STEP TWO: Collaboration of Key Stakeholders (on and off campus)

STEP THREE: Design a Marketing strategy

STEP FOUR: Training Program

◦ CPR Training

◦ Alcohol Emergency Education & Role Play

STEP FIVE: Recognition of New Red Watch Band Members

 Comprehensive Bystander Intervention Program designed to prevent death from toxic drinking.

 Adheres to best practices in prevention by encompassing education, peer education and community outreach.

Widely recommended by students. Since March 2009, over 2,260 students have been trained nationally.

Described as

“missing link” to prevention by university professionals.

 115 colleges and universities have committed to implementing RWB at their respective institutions. High Schools have also begun implementing RWB.

College Drinking: Changing the Culture www.collegedrinkingprevention.gov

Hazing Prevention www.hazingprevention.org

Higher Education Center www.higheredcenter.org

The Gordie Foundation – www.gordie.org

National Institution on Drug Abuse www.drugabuse.gov

National Institute on Alcoholism and Alcohol Abuse of National Institute of Health www.niaaa.nih.gov

Substance Abuse and Mental Health Services Administration www.samhsa.gov

NCAA Drug Testing Program www.ncaa.org/wps/portal

Alcoholics Anonymous www.aa.org

Adult Children of Alcoholics www.adultchildren.org

Al-anon www.al-anon.org

Anti-Hazing www.stophazing.org

RED WATCH BAND Vendor

Janice Heipler

Proforma Marketing Services

109 Walnut Street

Shrewsbury, MA 01545

Phone: 508-845-9098

Fax: 508-842-4495 janice.heipler@proforma.com

Website: www.redwatchband.org

Contact Person:

Lara Hunter, LCSW

Red Watch Band Program Coordinator

Center for Prevention and Outreach

Stony Brook University

631-632-6729

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